Carole Mackenzie LCSW
Clinic/Center, Adolescent and Children Mental Health in Hartford, Connecticut
1063812527- Practice location
- 674 Prospect Ave, Hartford, CT 06105-4288
- Phone
- 860-231-7373
- Fax
- 860-233-5736
- Last updated
- November 4, 2014
Carole Mackenzie LCSW is a healthcare organization based in Hartford, CT. Carole Mackenzie LCSW practices in Hartford, CT. The NPI Number for Carole Mackenzie LCSW is 1063812527 and holds a License No. 002083 (CT). The current practice location address for Carole Mackenzie LCSW is 674 Prospect Ave, Hartford, CT 06105-4288 and can be reached out via phone at 860-231-7373 and via fax at 860-233-5736.
Provider Profile Details
- NPI Number
- 1063812527
- Provider Name
- Carole Mackenzie LCSW
- Provider Entity Type
- Organization
- Address
- 674 Prospect Ave, Hartford, CT 06105-4288
- Phone Number
- 860-231-7373
- Fax Number
- 860-233-5736
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Prof. Carole Holabird Mackenzie, LCSW · Licensed Clinical Social Worker · 860-231-7373
- Provider Enumeration Date
- September 2, 2014
- Last Update Date
- November 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 674 Prospect Ave
Hartford, CT 06105-4288 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-4288
- Phone Number
- 860-231-7373
- Fax Number
- 860-233-5736
Provider Business Mailing Address Details
- Address
- 674 Prospect Ave
Hartford, CT 06105-4288 - City
- Hartford
- State
- CT
- Zip
- 06105-4288
- Phone Number
- 860-231-7373
- Fax Number
- 860-233-5736
License Information
- License Number (1)
- 002083
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (2)
- 002083
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 002083
- License State (3)
- CT
- Taxonomy (3)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carole Mackenzie LCSW?
The NPI number of Carole Mackenzie LCSW is 1063812527. It was assigned on September 2, 2014 and is currently active in the NPPES registry.
What is the specialty of Carole Mackenzie LCSW?
Carole Mackenzie LCSW is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number 002083.
Where does Carole Mackenzie LCSW practice?
The practice location is 674 Prospect Ave, Hartford, CT 06105-4288. The office can be reached at 860-231-7373 (phone) or 860-233-5736 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063812527 directly on the NPPES registry website.